East London NHS Foundation Trust

Occupational Therapy Technical Instructor Higher Level AFC Band 5

The closing date is 09 October 2025

Job summary

The Operational Lead will provide operational oversight and logistical support for a range of therapeutic employment initiatives within ELFT'S forensic mental health service, including the Oasis Coffee Shop, the Therapeutic Horticulture / Landscaping project, the Nu Leaf Painting and Decorating project, the Admin project and the JHC Barber Shop / Salon. The projects aim to support service users in secure settings to access meaningful vocational experiences that enhance recovery, independence, and rehabilitation, in line with the Good Lives Model (GLM) and trauma-informed care.

Main duties of the job

Provide operational and logistical support to the senior clinician and the therapeutic employment project leads across the forensic service.

Implement structured vocational pathways designed by the lead clinician and tailored to the needs, strengths, and interests of the service user population and the wider service.

Manage and coordinate daily operational activities, including rotas, planning, and resource allocation and procurement of goods and materials pertaining to therapeutic activities.

Support and deputise for the senior clinician, including participation in service planning, governance, and operational meetings.

Provide supervision, guidance and support to junior staff.

Work collaboratively with clinical teams, peer support workers, and external partners (e.g., education providers, employers, and voluntary organisations).

Embed a culture of recovery, empowerment, and positive therapeutic risk-taking consistent with the Good Lives Model and trauma-informed practice.

Monitor project's financial viability; contribute to audits, and support service evaluation and development.

Champion patient engagement and co-production in vocational activities.

Undertake all necessary documentation and admin tasks

Undertake all mandatory training in a timely manner

Engage in CPD

Engage in frequent supervision and provide monthly supervision to junior staff

About us

Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.

Details

Date posted

03 October 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£37,259 to £45,356 a year per annum Inc HCA

Contract

Secondment

Working pattern

Full-time

Reference number

363-FOR7404053-A

Job locations

John Howard Centre,

12 Kenworthy Road

Homerton

E9 5TD


Job description

Job responsibilities

Communication and Working Relationships requirement:

  1. To use advanced levels of communication, negotiation and motivational skills to facilitate good working relationships with staff, between all levels of the multidisciplinary team and with external agencies.
  1. To communicate effectively with patients to maximise rehab potential, and ensure understanding of clinical condition. To use verbal and non-verbal communication skills of persuasion, motivation, demonstration and explanation to encourage patients to undertake treatment programmes and optimise treatment outcomes. To adapt style to various levels of understanding and different situations, including those where sensitive, complex or emotive information needs to be gained or imparted or where there are barriers to communication e.g. due to complex psychological conditions.
  1. To maintain accurate and up to date documentation in line with legal and departmental requirements, and communicate vocational/employment programme/activity results to the appropriate disciplines in the form of timely reports and letters.
  1. To communicate appropriately using electronic formats including word processing and e-mail.
  1. To ensure compliance with confidentiality is maintained.
  1. To collect statistics and submit them regularly as required
  1. To undertake administration tasks as required for the smooth running of the department, including managing service user employees time sheets and wages.
  1. To supply patients and staff with information on the OT service which is accurate and current.

Clinical Responsibility:

  1. To promote OT specifically the vocational and employment activities within the service to staff and patients.
  1. To co-ordinate operational aspects of all employment projects to ensure their smooth running.
  1. To provide clinical and operational support to the Band 4 project leads
  1. To be involved in planning, initiation and delivery of vocational and employment programmes in collaboration with other professionals specifically tailored to patient need.
  1. To prioritise workload as necessary according to individual patients needs and the standards of the employment service.

6.To have knowledge of clinical skills to carry out vocational and employment programmes/ activities in both one-to-one and group interventions with patients.

7.To use clinical reasoning to support the Occupational Therapist in assessing patients occupational performance in relation to their mental health needs and risk.

8. To assess the clients mental state and identify any significant risk factors, both in general and pertaining to the specific therapeutic activity with supervision of senior staff.

  1. To provide individual employment advice and guidance as required ie CV writing, disclosure statements, etc.

10. To be involved in evaluating the effectiveness of therapy interventions in conjunction with patients and other professionals etc.

11.To apply evidence based practice to service delivery under supervision of senior staff

12.To apply equal opportunities and anti-discriminatory interventions that respect the patients customs, values and spiritual beliefs at all times.

13.To contribute to reports focussed on the vocational and employment aspects on a regular basis and disseminate to relevant professionals, agencies and the patient.

14.To make entries in the multidisciplinary notes pertaining to the patients assessment, intervention and progress.

15.To attend clinical meetings/ ward rounds/ CPA meetings and contribute clinical information on patients progress.

16. To exercise professional and clinical judgement in routine cases and refer to senior staff when necessary.

17.To prioritise caseload in response to client need and the changing needs of the service under guidance of senior staff

18. To develop and maintain links with relevant statutory and non-statutory agencies in relation to vocational rehabilitation and employment in the community.

Service Development and Improvement:

1. To follow all Trust and OT Service policies and procedures and the College of Occupational Therapy (COT) Professional Standards in Clinical Practice.

2.To encourage user involvement in service development.

3. To attend staff and business meetings within the OT service, relevant MDT meetings and other clinical specialist groups.

4.To implement and suggest changes to policies within the service user employment department.

5. To actively participate in clinical audits related to service evaluation and review.

6.To participate in the development of culturally sensitive services responsive to the ethnic diversity within the borough.

Financial and Physical resource Responsibility:

1. To monitor the levels of stock and equipment required for departmental needs.

2. To adhere to policies and procedures for the safe use of therapeutic stock and equipment in line with health and safety requirements.

3. To manage procurement of patient wages for vocational jobs and ensure this is in line with trust policy.

4. To be responsible for accurately completing petty cash vouchers related to purchases made for patients service provision

Working Conditions and Environment:

Physical effort

Physical skills required to facilitate a wide range of activities both on a one to one and group basis, including usingand moving technical equipment and managing, moving and transporting stock.

Emotional effort

Ability to manage frequent highly distressing clinical interactions with patients who have personality disorder and other mental health problems.

Mental effort

Ability to assess and manage exposure to potential hazards including frequent verbal aggression and risk of physical aggression in hospital setting whilst ensuring safety of self, patients and other staff in line with the trusts policy in relation to management of violence and aggression.

Knowledge, Training and Education:

1. To have a formal qualification or equivalent or in-depth knowledge and practical experience of one or more specific technical areas relevant to the service user employment projects such as graphic design, catering, horticulture / landscaping.

2. To have knowledge and experience of designing and implementing both group and individual therapeutic interventions e.g. vocational programmes, therapeutic group work etc.

3. To have knowledge of various diagnosis, their management and effect on function in relation to the specialist areas.

4. To maintain up to date knowledge of policies across therapy and other areas of work.

5. To maintain updated knowledge with regard to areas of mandatory training and emergency procedures including CPR, fire, equality and diversity, MAPPA and infection control.

6. To ensure own professional development through regular participation in the supervision process and the Trusts appraisal and individual performance review.

7. To assist with the training and development of OT students on clinical placement when suitably experienced.

8. To participate in the induction of new staff as required.

9. To work autonomously within trust and occupational therapy policy and guidelines to manage caseload of patients and rotas to ensure sufficient cover for all projects and the smooth running of the department.

10. To maintain Continuing Professional Development (CPD) and keep a personal CPD portfolio.

Research and Development Responsibility:

1. To contribute to activities related to clinical effectiveness via audit, research and evidenced based practice.

2. To contribute to regular Trust-wide Clinical Interest groupsand other relevant forums.

Job description

Job responsibilities

Communication and Working Relationships requirement:

  1. To use advanced levels of communication, negotiation and motivational skills to facilitate good working relationships with staff, between all levels of the multidisciplinary team and with external agencies.
  1. To communicate effectively with patients to maximise rehab potential, and ensure understanding of clinical condition. To use verbal and non-verbal communication skills of persuasion, motivation, demonstration and explanation to encourage patients to undertake treatment programmes and optimise treatment outcomes. To adapt style to various levels of understanding and different situations, including those where sensitive, complex or emotive information needs to be gained or imparted or where there are barriers to communication e.g. due to complex psychological conditions.
  1. To maintain accurate and up to date documentation in line with legal and departmental requirements, and communicate vocational/employment programme/activity results to the appropriate disciplines in the form of timely reports and letters.
  1. To communicate appropriately using electronic formats including word processing and e-mail.
  1. To ensure compliance with confidentiality is maintained.
  1. To collect statistics and submit them regularly as required
  1. To undertake administration tasks as required for the smooth running of the department, including managing service user employees time sheets and wages.
  1. To supply patients and staff with information on the OT service which is accurate and current.

Clinical Responsibility:

  1. To promote OT specifically the vocational and employment activities within the service to staff and patients.
  1. To co-ordinate operational aspects of all employment projects to ensure their smooth running.
  1. To provide clinical and operational support to the Band 4 project leads
  1. To be involved in planning, initiation and delivery of vocational and employment programmes in collaboration with other professionals specifically tailored to patient need.
  1. To prioritise workload as necessary according to individual patients needs and the standards of the employment service.

6.To have knowledge of clinical skills to carry out vocational and employment programmes/ activities in both one-to-one and group interventions with patients.

7.To use clinical reasoning to support the Occupational Therapist in assessing patients occupational performance in relation to their mental health needs and risk.

8. To assess the clients mental state and identify any significant risk factors, both in general and pertaining to the specific therapeutic activity with supervision of senior staff.

  1. To provide individual employment advice and guidance as required ie CV writing, disclosure statements, etc.

10. To be involved in evaluating the effectiveness of therapy interventions in conjunction with patients and other professionals etc.

11.To apply evidence based practice to service delivery under supervision of senior staff

12.To apply equal opportunities and anti-discriminatory interventions that respect the patients customs, values and spiritual beliefs at all times.

13.To contribute to reports focussed on the vocational and employment aspects on a regular basis and disseminate to relevant professionals, agencies and the patient.

14.To make entries in the multidisciplinary notes pertaining to the patients assessment, intervention and progress.

15.To attend clinical meetings/ ward rounds/ CPA meetings and contribute clinical information on patients progress.

16. To exercise professional and clinical judgement in routine cases and refer to senior staff when necessary.

17.To prioritise caseload in response to client need and the changing needs of the service under guidance of senior staff

18. To develop and maintain links with relevant statutory and non-statutory agencies in relation to vocational rehabilitation and employment in the community.

Service Development and Improvement:

1. To follow all Trust and OT Service policies and procedures and the College of Occupational Therapy (COT) Professional Standards in Clinical Practice.

2.To encourage user involvement in service development.

3. To attend staff and business meetings within the OT service, relevant MDT meetings and other clinical specialist groups.

4.To implement and suggest changes to policies within the service user employment department.

5. To actively participate in clinical audits related to service evaluation and review.

6.To participate in the development of culturally sensitive services responsive to the ethnic diversity within the borough.

Financial and Physical resource Responsibility:

1. To monitor the levels of stock and equipment required for departmental needs.

2. To adhere to policies and procedures for the safe use of therapeutic stock and equipment in line with health and safety requirements.

3. To manage procurement of patient wages for vocational jobs and ensure this is in line with trust policy.

4. To be responsible for accurately completing petty cash vouchers related to purchases made for patients service provision

Working Conditions and Environment:

Physical effort

Physical skills required to facilitate a wide range of activities both on a one to one and group basis, including usingand moving technical equipment and managing, moving and transporting stock.

Emotional effort

Ability to manage frequent highly distressing clinical interactions with patients who have personality disorder and other mental health problems.

Mental effort

Ability to assess and manage exposure to potential hazards including frequent verbal aggression and risk of physical aggression in hospital setting whilst ensuring safety of self, patients and other staff in line with the trusts policy in relation to management of violence and aggression.

Knowledge, Training and Education:

1. To have a formal qualification or equivalent or in-depth knowledge and practical experience of one or more specific technical areas relevant to the service user employment projects such as graphic design, catering, horticulture / landscaping.

2. To have knowledge and experience of designing and implementing both group and individual therapeutic interventions e.g. vocational programmes, therapeutic group work etc.

3. To have knowledge of various diagnosis, their management and effect on function in relation to the specialist areas.

4. To maintain up to date knowledge of policies across therapy and other areas of work.

5. To maintain updated knowledge with regard to areas of mandatory training and emergency procedures including CPR, fire, equality and diversity, MAPPA and infection control.

6. To ensure own professional development through regular participation in the supervision process and the Trusts appraisal and individual performance review.

7. To assist with the training and development of OT students on clinical placement when suitably experienced.

8. To participate in the induction of new staff as required.

9. To work autonomously within trust and occupational therapy policy and guidelines to manage caseload of patients and rotas to ensure sufficient cover for all projects and the smooth running of the department.

10. To maintain Continuing Professional Development (CPD) and keep a personal CPD portfolio.

Research and Development Responsibility:

1. To contribute to activities related to clinical effectiveness via audit, research and evidenced based practice.

2. To contribute to regular Trust-wide Clinical Interest groupsand other relevant forums.

Person Specification

Education/ Qualification/ Training

Essential

  • oBusiness qualification or equivalent in a relevant field (gastronomy / catering / hospitality/ retail / supply chain management / maintenance)

Experience

Essential

  • Previous experience of leading group and individual vocational/therapeutic programmes in a related clinical field
  • Experience in financial, stock & equipment management
  • Experience in procurement
  • Experience of co-operating with maintenance agencies / overseeing and managing maintenance projects necessary to maintain the smooth running and integrity of all employment projects.

Desirable

  • Experience of role development activities

Knowledge and Skills

Essential

  • oAbility to innovate specific vocational and employment activities and programmes for service users both group and individual
  • oGood interpersonal skills enabling therapeutic alliances to be developed with clients.
  • oClinical reasoning skills to assess clients needs (including risk assessment)
  • oAbility to plan, prioritise and coordinate a range of complex activities in relation to clinical work.
  • oAbility to communicate with OT staff and other professionals
  • oAwareness of potential hazards including frequent verbal aggression and risk of physical aggression in settings such as the clients home, community venues, public transport etc.) whilst ensuring safety of self, client and members of the public.
  • oAbility to liase with other services, statutory and non-statutory around clinical issues.
  • oWord-processing/IT skills oGood organisational and time management skills
  • othe needs and rights of services users and/or carers in planning and service development
  • oOne or more specific vocational activity plus knowledge of developing employability skills of service users
  • oThe theory and practice of occupational therapy including occupational science and holistic models of OT practice oTheoretical knowledge of holistic models of OT practice and skills in group work, teaching and counselling.
  • oAgencies and other external contacts in relation to employment opportunities and vocational development oThe impact of mental health difficulties upon occupational functioning (self-care, productivity and leisure) and performance components (i.e. inter and intra personal, cognitive, physical)
  • oRisk assessment issues and its application to practice

Desirable

  • oAbility to manage frequent distressing clinical interactions with clients who have personality disorder.

Other

Essential

  • oPhysical skills required to facilitate a wide range of activities both on a one-to-one and group basis, including using equipment as required.
  • oMental and emotional effort required to undertake interventions on both a one-to-one and group basis
  • oConcentration required to lead vocational activities
Person Specification

Education/ Qualification/ Training

Essential

  • oBusiness qualification or equivalent in a relevant field (gastronomy / catering / hospitality/ retail / supply chain management / maintenance)

Experience

Essential

  • Previous experience of leading group and individual vocational/therapeutic programmes in a related clinical field
  • Experience in financial, stock & equipment management
  • Experience in procurement
  • Experience of co-operating with maintenance agencies / overseeing and managing maintenance projects necessary to maintain the smooth running and integrity of all employment projects.

Desirable

  • Experience of role development activities

Knowledge and Skills

Essential

  • oAbility to innovate specific vocational and employment activities and programmes for service users both group and individual
  • oGood interpersonal skills enabling therapeutic alliances to be developed with clients.
  • oClinical reasoning skills to assess clients needs (including risk assessment)
  • oAbility to plan, prioritise and coordinate a range of complex activities in relation to clinical work.
  • oAbility to communicate with OT staff and other professionals
  • oAwareness of potential hazards including frequent verbal aggression and risk of physical aggression in settings such as the clients home, community venues, public transport etc.) whilst ensuring safety of self, client and members of the public.
  • oAbility to liase with other services, statutory and non-statutory around clinical issues.
  • oWord-processing/IT skills oGood organisational and time management skills
  • othe needs and rights of services users and/or carers in planning and service development
  • oOne or more specific vocational activity plus knowledge of developing employability skills of service users
  • oThe theory and practice of occupational therapy including occupational science and holistic models of OT practice oTheoretical knowledge of holistic models of OT practice and skills in group work, teaching and counselling.
  • oAgencies and other external contacts in relation to employment opportunities and vocational development oThe impact of mental health difficulties upon occupational functioning (self-care, productivity and leisure) and performance components (i.e. inter and intra personal, cognitive, physical)
  • oRisk assessment issues and its application to practice

Desirable

  • oAbility to manage frequent distressing clinical interactions with clients who have personality disorder.

Other

Essential

  • oPhysical skills required to facilitate a wide range of activities both on a one-to-one and group basis, including using equipment as required.
  • oMental and emotional effort required to undertake interventions on both a one-to-one and group basis
  • oConcentration required to lead vocational activities

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

East London NHS Foundation Trust

Address

John Howard Centre,

12 Kenworthy Road

Homerton

E9 5TD


Employer's website

https://www.elft.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

East London NHS Foundation Trust

Address

John Howard Centre,

12 Kenworthy Road

Homerton

E9 5TD


Employer's website

https://www.elft.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Therapeutic Employment Lead

Connie Wernham

connie.wernham@nhs.net

02085102286

Details

Date posted

03 October 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£37,259 to £45,356 a year per annum Inc HCA

Contract

Secondment

Working pattern

Full-time

Reference number

363-FOR7404053-A

Job locations

John Howard Centre,

12 Kenworthy Road

Homerton

E9 5TD


Supporting documents

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